Provider Demographics
NPI:1083151112
Name:SERENITY THERAPY & COUNSELING
Entity Type:Organization
Organization Name:SERENITY THERAPY & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUCHINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:856-442-9355
Mailing Address - Street 1:24 SERENE LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-5690
Mailing Address - Country:US
Mailing Address - Phone:856-442-9355
Mailing Address - Fax:
Practice Address - Street 1:1101 KINGS HWY N
Practice Address - Street 2:SUITE 203
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1912
Practice Address - Country:US
Practice Address - Phone:856-442-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05597400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health